摘要
目的探讨防止食管癌术后吻合口瘘及狭窄的吻合术式。方法自1990年1月～2003年12月对5630例食管癌患者行肿瘤切除,均采用食管-胃粘膜悬入胃腔式吻合方法,遵循“窄边距、密针距、锯齿缝、轻打结”的吻合技巧,观察分析术后吻合口瘘及狭窄等并发症的发生情况。结果本组5630例术后发生吻合口瘘49例(0.87%),其中颈部吻合口瘘29例,胸内吻合瘘20例,吻合口狭窄30例(0.53%),其中颈部吻合口狭窄6例,胸内吻合口狭窄24例。结论食管-胃粘膜悬入胃腔式吻合是防止食管癌术后吻合口瘘和狭窄的有效术式。
Objective To investigate the effect of a modified anastomotie technique on preventing anastomotic leakage and stricture. Methods 5 360 cases of esophageal carcinoma underwent resection and the modified anastomotic technique in esophagogastrostomy hiring the technical rule of ＂narrow edge, tight stitch, sawtooth suture and gentle tie＂. Results Anastomotic leakage occurred in 49 cases（0.87% ） , of which 29 cases in cervix and 20 cases ＂in thorax. Anastomotic stricture occurred in 30 cases（0.53% ） , of which 6 cases in cervix and 24 cases in thorax. Conclusion Esophagogastrostomy with reconstruction of overlapped mucosal canal in anastomosis is an effective technique on preventing the anastomotic leakage and stricture.
出处
《中国现代手术学杂志》
2005年第6期469-471,共3页
Chinese Journal of Modern Operative Surgery
关键词
食管肿瘤
瘘
狭窄
吻合口
esophageal neoplasms
fistula
stenosis
stomas
